ClinicalTrials.Veeva

Menu

Promoting Patient-Centered Counseling to Reduce Inappropriate Diagnostic Tests

University of California (UC) Davis logo

University of California (UC) Davis

Status

Completed

Conditions

Osteoporosis
Unnecessary Procedures
Primary Care
Headache
Magnetic Resonance Imaging
Low Back Pain

Treatments

Behavioral: Control
Behavioral: Standardized Patient Instructor Intervention

Study type

Interventional

Funder types

Other

Identifiers

NCT01808664
364498-3 (Other Identifier)
364498

Details and patient eligibility

About

In this study, the investigators will develop and evaluate a novel intervention using standardized patients (SPs) -- or actors playing the roles of patients -- to enhance physicians' patient-centered counseling skills regarding two frequently overused, potentially inappropriate services in primary care: magnetic resonance imaging (MRI) for acute low back pain and bone densitometry in women at low-risk for osteoporosis. The investigators will further evaluate whether intervention effects on physician patient-centeredness generalize to counseling regarding other costly, unnecessary diagnostic tests.

Enrollment

61 patients

Sex

All

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Resident physician in family medicine or internal medicine who deliver primary care at one of two hospital-based primary care clinics at the University of California, Davis Medical Center Sacramento

Exclusion criteria

  • Anticipated graduation in less than one year from enrollment.

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Double Blind

61 participants in 2 patient groups

Standardized Patient Instructor Intervention
Experimental group
Description:
Primary care physicians (PCPs) randomized to intervention will receive over a three month run-in period two visits by standardized patient instructors portraying: 1) a 48 year-old patient with low back pain for less than six-weeks and no "red flags" for immediate spinal imaging; and 2) a 50 year-old recently menopausal woman establishing care with concerns about osteoporosis risk.
Treatment:
Behavioral: Standardized Patient Instructor Intervention
Control
Active Comparator group
Description:
In the latter half of visits with control PCPs, standardized patient instructors (SPIs) will share information regarding low back pain or bone health that are unrelated to diagnostic testing, but will not discuss patient-centered techniques or conduct training. The total duration of the control "information sharing" will be about one-third the SPI intervention to enhance patient-centeredness.
Treatment:
Behavioral: Control

Trial contacts and locations

0

Loading...

Data sourced from clinicaltrials.gov

Clinical trials

Find clinical trialsTrials by location
© Copyright 2024 Veeva Systems